PAUL J DENEMARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000455

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

DENEMARK

Suffix

DDS

Business Name

PAUL J DENEMARK DDS

Original Issue Date

04/26/1999

Effective Date

08/28/2018

Expiration Date

01/31/2022

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

05/09/2022